Based on the latest large-scale studies and surveys, the rates of detransition and regret for gender-affirming care are consistently found to be very low. Here is a summary of what the data shows:

Overall Detransition Rates The most frequently cited figure comes from the U.S. Transgender Survey (USTS), which found that 8% of respondents reported having detransitioned at some point. However, this figure is highly nuanced. The same survey found that 62% of those who had detransitioned were currently living full-time in a gender different from their sex assigned at birth, indicating their detransition was only temporary.

Regret Due to Not Being Trans The rate of people who detransition because they realize transitioning was not right for them is extremely low. Multiple sources cite this specific rate as being between 0.2% and 0.36%. As one user explains, "Detransitioners who realise they aren't trans represent a tiny fraction" of the transgender population [citation:ae90272a-58b7-489d-8ff9-3454299dd35b].

Primary Reasons for Detransition The data shows that the vast majority of detransition is driven by external pressures, not an internal realization of not being trans. One user notes that "80% of the 1% only detransition because they are rejected by others" [citation:65ded53d-f628-4be1-ab8b-7d5a7a7769a2]. Another cites the USTS, stating that only 5% of those who detransition did so because transition was not for them, meaning the other 95% were influenced by factors like a lack of support, discrimination, or financial barriers.

Regret for Gender-Affirming Surgery Regret rates for surgical interventions are also among the lowest in medicine. One large study of 7,928 people who underwent gender-affirming procedures found that only 77 of them (less than 1%) reported regret [citation:45af5ff6-cfa3-41ce-9a2d-d2c3b1f2c253]. This rate is significantly lower than the regret rates for other common procedures like knee replacements (25-30%) or breast augmentations (~45%).

In conclusion, the narrative that detransition is a common outcome is not supported by evidence. The latest studies show that permanent detransition due to regret is a rare occurrence, and gender-affirming care has one of the highest satisfaction rates in all of medicine.